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Perinatal Care Project

Project overview :

perinatal-care-projectPerinatal Care Project (PCP) is a collaborative project of Diabetic Association of Bangladesh (BADAS), Women & Children First (UK) and University College London Institute for Global Health, UK, which aims to improve maternal and newborn health in rural areas in Bangladesh. The project is being implemented in 18 Unions under 6 Upazilas of 3 Districts (Bogra, Faridpur and Moulvibazar) since 2002 and covering around 534,000 populations. Women and under-5 children’s health was incorporated in the intervention during scaling up of the project in 2008. After June 2013, PCP has been working in 6 unions of 4 upazilas under two districts (Faridpur and Bogra).

PCP has both research and development objectives. The research objective incorporates a randomized controlled trial to evaluate the effectiveness of community mobilization through women’s groups on maternal and neonatal health. Under the development objective several activities are being implemented to strengthen health system for timely use of quality health care services within the project areas. Alongside, a low cost surveillance system was used to record all deaths during pregnancy up to 6 weeks post-partum and all births and their outcomes (live birth, stillbirth, neonatal death), and process evaluation activities were executed to monitor and document different elements including contextual factors of the intervention.

Major Activities :

  • 180 women’s groups conducted monthly meetings on different maternal and neonatal health issues in 3 unions (Charbishnupur, Krishnapur and Aliabad) of Faridpur district under the CLEAN Project funded by Implementation Research Platform (IRP)-WHO upto August 2015.

  • To inform about the implementation of the CLEAN project including the results, barriers challenges and lessons learned to government officials, national and international NGOs, donor agencies, professional bodies and academics, PCP organized a national level dissemination meeting on “Community Led Evidence-based Action for Newborns (CLEAN) at Scale through Participatory Women's Groups and Health Workers in Rural Bangladesh- The Perinatal Care Project Experience.
    ” The dissemination meeting was held on 10th December 2015, at Spectra Convention, Dhaka. National Prof MR Khan was present at the meeting as Chief Guest. Dr A.B.M. Muzharul Islam, Line Director, Community Based Health Care (CBHC), Director General of Health Services (DGHS), Prof Nazmun Nahar, Director General, BIRDEM, Dr Hady Diallo, Medical Officer (MCH), WHO, Bangladesh, Dr Ishtiaq Mannan, Director- Health, Nutrition and HIV/AIDS, Save the Children in Bangladesh were present as Special Guests.

    The meeting was chaired by Prof AK Azad Khan, President, Diabetic Association of Bangladesh. Representatives from different govt. Offices including DGHS and DGFP and from national and international NGOs including BRAC, RDRS, Save the Children, Plan Bangladesh and Pathfinder International Bangladesh were present in the meeting. Members from professional bodies including Bangladesh Neonatal Forum (BNF), Bangladesh Perinatal Society (BPS), Bangladesh Paediatric Association (BPA) and Obstetrical and Gynecological Society of Bangladesh (OGSB) attended the meeting. Participants from research/academic institutions including ICDDR,B and from donor agencies attended the meeting. Total 90 participants attended the meeting.

  • 196 women’s groups conducted monthly meetings including community meetings on different maternal and neonatal health issues in 3 unions (Balua, Jorgachha and Vatgram) of Bogra district under the DFID funded Project.

  • PCP organized a 3 day workshop in Dhaka in February 2016. The workshop was facilitated by Sue Newport, an independent consultant, and was attended by staff members from the Dhaka office and from the field office. Prior to the workshop a capacity assessment was undertaken to establish the level of individuals’ skills and experience with advocacy and the programme’s capacity to undertake advocacy work.
    The findings of the assessment indicated that there was a mixed level of capacity amongst individuals and a conducive organizational environment and some good practices to build one. The workshop was designed and facilitated to build the capacity of the participants in advocacy whilst also identifying potential advocacy opportunities which form the basis of advocacy strategy.

    A total of eight potential areas were identified during the workshop; two of which were determined to be based on the ability for the PCP/BADAS to add value and to maximize their skills, experience and resources. Three specific challenges were subsequently identified within these priorities as being areas in which PCP could influence change. Goals, objectives and specific activities were subsequently agreed for these areas.

  • To strengthen the primary health care facility at the community level and build ownership, PCP has established links with staff of 10 Community Clinics (CCs) of Faridpur district. In Bogra, under DFID funded project, PCP has established links with the functional 12 community clinics. Women’s group leaders now attend all 12 functional community clinic committee meetings on a monthly basis. Women’s group members and BADAS-PCP staff have also regularly visited to these community clinics. These opportunities have been used to share the needs of communities, lobby for improvements in service quality and accessibility and gather information to take back for sharing in communities.

  • District Managers of Faridpur and Bogra districts attended GO-NGO coordination meetings regularly. The coordination meeting is held every month. All NGOs working in those districts attend the meeting and present their activities to apprise the government authorities.

  • Process Evaluation Officer conducted ten focus group discussions and ten in-depth interviews with the womengroups members, volunteer facilitators, Government Health worker and NGO health worker for CLEAN Project in March 2016. She also conducted 11 focus group discussions and 8 in-depth interviews for DFID funded project in Bogra in March 2016

  • Surveillance Manager conducted refresher training on mobile phone data collection for three monitors and one M&E Coordinator for Bogra project. District Manager participated in the training. The training was held in Bogra field office.

  • Monitors recorded all deaths during pregnancy up to 6 weeks post-partum and all births and their outcomes (live birth, stillbirth, neonatal death) in three Unions of Bogra District. Surveillance Manager also observed some data collection during field visit and provided feedback. M & E team compiled the data at PCP head office.

Material development:

  • Flip chart, manual and picture cards were developed to conduct meetings of women’s’ groups. The experts from DGHS and DGFP, MOH&FW, IPHN, BSMMU, UNICEF, Save the Children and BIRDEM worked on the development of the flipchart.

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